37785 Ligation, division, and/or excision of varicose vein cluster(s), 1 leg

Name of the Procedure:

Ligation, Division, and/or Excision of Varicose Vein Cluster(s), 1 Leg (Common names: Varicose vein surgery, Vein stripping, Vein ligation)

Summary

This surgical procedure involves tying off (ligation), cutting (division), and/or removing (excision) clusters of varicose veins in one leg. Varicose veins are enlarged, swollen, and twisting veins that often appear blue or dark purple. This procedure is aimed at reducing symptoms and improving the appearance of the affected leg.

Purpose

The procedure is performed to address varicose veins, which can cause pain, swelling, aching, and can lead to more severe complications like ulcers or blood clots. The primary goals are to relieve symptoms, prevent complications, and improve the cosmetic appearance of the leg.

Indications

• Severe varicose veins causing pain, swelling, or skin changes
• Bleeding varicose veins
• Non-healing skin ulcers due to varicose veins
• Blood clots in the veins (superficial thrombophlebitis)
• Desire for cosmetic improvement of affected legs

Preparation

• Pre-operative consultation and physical examination
• Ultrasound imaging to assess vein function and structure
• Possible fasting for 6-8 hours before the procedure
• Adjustments or temporary discontinuation of certain medications (e.g., blood thinners)
• Arrangements for post-procedure transportation home

Procedure Description

1. Anesthesia: The procedure is usually performed under local or general anesthesia.
2. Incisions: Small incisions are made over the varicose veins.
3. Ligation: The vein is tied off to prevent blood flow.
4. Division: The tied vein is then cut.
5. Excision: The cut vein segments are removed.
6. Closure: Incisions are closed with sutures or adhesive strips.
7. Bandaging: The leg is bandaged to reduce swelling and support healing.

Duration

The procedure typically takes between 1 to 3 hours.

Setting

The procedure is performed in an outpatient surgical center, hospital, or clinic.

Personnel

• Vascular surgeon or general surgeon
• Anesthesiologist or nurse anesthetist
• Surgical nurses and technologists

Risks and Complications

• Common risks: Bruising, swelling, and pain at incision sites
• Rare risks: Infection, blood clots, nerve damage, or adverse reaction to anesthesia
• Complications: Recurrence of varicose veins, permanent scarring, or prolonged numbness

Benefits

• Relief from symptoms such as pain, swelling, and heaviness
• Improved appearance of the leg
• Enhanced quality of life and mobility
• Benefits are typically noticed within a few weeks after the procedure

Recovery

• Patients can usually go home the same day
• Compression stockings may be worn for several weeks
• Avoid strenuous activities for 1-2 weeks
• Follow-up appointments for wound check and monitoring
• Full recovery typically takes 2-4 weeks, though minor swelling and discomfort may persist longer

Alternatives

• Sclerotherapy: Injection of a solution to collapse the vein
• Laser therapy: Use of laser to close off the vein
• Radiofrequency ablation: Heat energy to close the vein
• Pros and cons of alternatives: Less invasive but may be less effective for large or numerous varicose veins

Patient Experience

• During the procedure: Sensation of pulling or tugging; anesthesia will minimize pain
• After the procedure: Moderate pain and discomfort managed by prescribed pain medication, swelling, and potential bruising
• Emotional support and reassurance from the medical team to ensure comfort and address concerns.

This markdown text provides detailed and structured information about the procedure for ligation, division, and/or excision of varicose vein clusters in one leg, including preparation, risks, benefits, recovery, and alternatives.